Project 1
Project 1
Published on 10 November 2022
AB
Transcript
- 00:00
- Rutland et al. 2022, Mount Sinai
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- Post-operative vision loss: analysis of 587 patients undergoing endoscopic surgery for pituitary macroadenoma
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- Type of study: retrospective, single centre
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- Duration: 2013 to 2018
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- Participants: 587
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- Background
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- Vision loss post-surgery is poorly understood
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- This study aimed to understand risk factors for vision loss
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- Methods
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- Medical records of all patients undergoing endoscopic transsphenoidal surgery were examined
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- 2013 to 2018 at Mount Sinai Medical Centre
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- Patients with post-op reduced acuity, visual fields, new blurry vision were included
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- Results
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- 11 out of 587 had post-op visual deterioration
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- All 11 patients had pre-existing deficits (average 13.1 months)
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- 7 patients experienced deterioration within 24hrs of surgery
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- The other 4 experienced deterioration within 1 month
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- High rates of graft placement (10/11) and opening of the diaphragm sellae (9/11) were found in this series. These two may be important risk factors for post-op visual loss.
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- A British Journal of Neurosurgery visual abstract. All copyrights retained. @BJNSNeuro